At Natural Bio Health, our physicians have been treating men with testosterone for more than fourteen 14 years. We have four medical clinics located in Austin, College Station, San Antonio and Odessa, Texas and have treated thousands of men with testosterone therapy. Therefore, we were somewhat taken aback by the recently published VA study of older, at risk men, that warned that the testosterone users in this particular cohort (group) of men “had a higher incidence of ischemic stroke, a heart attack or to have died of any cause.”
This report made headlines in the LA Times with the following comment from a reporter:
The new research found that among 8,709 older men who were assessed for the possibility of blocked arteries, those taking testosterone were 30% more likely to suffer an adverse event — a stroke, a heart attack or death. Melissa Healy, LA Times, November 5, 2013, 1:24 p.m.
Cautionary warning to all men taking testosterone or unnecessary scare?
Should all men taking testosterone or who are considering taking testosterone now fear an increased risk of dying, heart attack or stroke? Or, should just men in a certain age category with significant health conditions take caution before taking testosterone therapy? Or, should this study, like the Women’s Health Initiative Study, be scrutinized for misleading the public with flawed facts and misinterpreted data?
The answer: This new study should act as a cautionary warning to men with significant health conditions that taking testosterone (or testosterone boosters sold by supplement stores like GNC or steroid shops) might have an adverse effect on their health. It should also act as a cautionary warning to men seeking testosterone therapy from unqualified clinics that are popping up around the country marketing testosterone without any serious consideration of the health of their clients.
However, all men should also know that testosterone has incredible and substantiated health benefits for men when properly prescribed and monitored. It should not be feared but welcomed by men as an adjunct to a healthy and fulfilling life. See a few of the many studies below showing the heart benefits of testosterone. Call Natural Bio Health in Austin, Odessa, San Antonio or College Station for studies. For information go to www.naturalbiohealth.com.
The Proof is in the man (and the medical clinic). The professionals at Natural Bio Health can personally attest to the benefits of long term testosterone use. The author of this blog (me) is 67 years of age and has been taking testosterone for more than 14 years. My health is great, I exercise regularly and all of my blood tests are in the optimal range, in part due to taking bioidentical hormones including testosterone. My wife Sandy has also been taking testosterone for 14 years and is in great health (yes women benefit from testosterone also). We take no statin drugs, no diabetic drugs, no anti-depressants, no sleep medications, no hypertension drugs or any other such drugs.
Dr. Joseph Feste, a physician with Natural Bio Health, is 78 years of age and has been taking testosterone for several years as has his wife. He is in great health and actively practices medicine 5 days a week and is often researching during the weekends. Dr. David Weiler, another physician for Natural Bio Health, is 66 and has been taking testosterone for years. He too is in great health. We are all older than the men in the VA study.
We have men (and women) on our programs who have been with us for 14 years, taking testosterone and other bioidentical hormones and enjoying a great quality of life. We have men and women of all age groups who were found to be testosterone deficient and now enjoy a healthy fulfilling life with hormone therapy including testosterone. There are thousands of other men and women across the United States enjoying the benefits of testosterone who are being treated by experienced, professional doctors.
False reporting? Miscalculation? There is an old saying that “figures don’t lie but liars figure.” In this case, we have to wonder not about liars but how the calculations were made that came to the conclusion in the published study that:
“In the three-year period they were followed, 25.7% of the men taking testosterone supplementation had suffered a stroke, a heart attack or death. Among the men who did not take testosterone, 19.9% suffered one of those outcomes. Of 7486 patients not receiving testosterone therapy, 681 died, 420 had MIs, and 486 had strokes. Among 1223 patients receiving testosterone therapy, 67 died, 23 had MIs, and 33 had strokes.”
Do your own calculations and then ask how and why the VA study came up with their numbers. We come up with vastly different numbers.
Using the data provided in the VA study, Dr. Joseph Feste of Natural Bio Health calculated that 21.19 % of the men who did not take testosterone had events while only 10% of the men who took testosterone had events. This is directly contrary to the VA study as published by JAMA. Dr. Feste has written to the editorial board of JAMA and asked them to correct their numbers.
My calculations (feel free to test them): Using the VA study numbers are shown in the chart below, I come to a different set of numbers. The numbers based on the data provided are as follows:
- NOT using testosterone, 9.1% died. Using testosterone, 5.4% of the men died.
- NOT using testosterone, 5.6% had MIs. Using testosterone, 1.9% of the men had MIs.
- NOT using testosterone, 6.5% has strokes. Using testosterone, 2.7% of the men had strokes.
|Total||% of total||Event/Classification|
|7486||86%||No testosterone therapy|
Even in this study, it looks to me as if the men using testosterone did better.
So where did the LA Times reporter get her number that “those taking testosterone were 30% more likely to suffer an adverse event — a stroke, a heart attack or death”? We will ask her but it is not supported by our math calculations. It does make good headlines however.
So do we ignore any and all warnings about the use of testosterone? NO!
Testosterone is a hormone that acts upon the body in many different ways. It is highest when we are young and continually declines over the years. In our experience, most men over the age of 30 have suboptimal levels of free testosterone and have matching symptoms. The men in the quoted study had several health issues before commencing testosterone therapy.
“Approximately 20% of the men in the study had a prior history of MI, 50% had diabetes, and more than 80% had CAD. Of the 8709 patients, 1223 (14.0%) initiated testosterone therapy after a median of 531 days (interquartile range